Abstract:
:Assessment of the pelvic lymph node status is a major concern in prostatic cancer staging. In spite of a normal abdominopelvic CT scan examination in patients with organ-confined disease, 7-30% will have lymph node metastases at pathological examination and will not benefit from radical prostatectomy. Laparoscopy enables pelvic lymph node dissection via a minimally invasive approach. Twenty-nine patients underwent laparoscopic pelvic lymph node dissection (LPLND) for prostatic cancer staging. The average duration of the bilateral dissection was 90 +/- 40 min (range 35-180 min). One patient died of a stroke on postoperative day 1, without local complication. The peroperative complications were 1 injury of the external iliac vein, 1 ileal injury, 1 ureteral injury, all 3 (11%) requiring immediate or delayed laparotomy. One patient had a self-resolving bilateral obturator nerve paresis. A previously irradiated patient had perineal lymphedema for 4 weeks. The average number of lymph nodes removed was 8.4 +/- 3.4 (range 4-17) for bilateral LPLND. Five patients had lymph node metastases. The median length of stay for patients undergoing LPLND as a single procedure was 2 days (range 2-11 days). After an operational period, during which the complication rate was relatively high, we now consider LPLND as a safe and effective procedure for the staging of patients with organ-confined prostatic cancer, but considering the increased risk of complications during the application period, we do not encourage the generalization of this technique which should remain restricted to some particular strategies, as in combination with perineal radical prostatectomy.
journal_name
Eur Uroljournal_title
European urologyauthors
Doublet JD,Gattegno B,Thibault Pdoi
10.1159/000475282subject
Has Abstractpub_date
1994-01-01 00:00:00pages
194-8issue
3eissn
0302-2838issn
1873-7560journal_volume
25pub_type
杂志文章相关文献
EUROPEAN UROLOGY文献大全abstract::The foundations of the generally accepted principles underlying the surgical management of renal cell carcinoma (RCC) were best annunciated in 1969 by Robson in his classic description of the radical nephrectomy [J Urol 1969;101;297]. Since then, much has changed in our understanding of the basic biology and genetics ...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1016/j.eururo.2004.02.002
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVES:We performed two randomized prospective studies with the silver-coated Bardex IC catheter in order to evaluate the incidence of bacteriuria during short- and medium-term catheterization after urological procedures. METHODS:During catheterization only consecutive suprapubic urine samples were taken and cultu...
journal_title:European urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000068005
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Literature regarding both subjective and objective evaluations of erectile function following radical cystectomy is deficient. OBJECTIVE:To study the recoverability of erectile function in post-radical cystectomy patients on subjective and objective bases. DESIGN, SETTING, AND PARTICIPANTS:Between March 20...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2008.06.072
更新日期:2009-02-01 00:00:00
abstract::The etiology of retroperitoneal fibrosis (Ormond's disease) has still not been clarified. A new hypothesis postulates chronic fibrosing periaortitis. Atherosclerosis of the abdominal aorta and plaque rupture lead to the liberation of oxidized lipoproteins through the adventitia into the periaortic fatty tissue. This r...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000474632
更新日期:1993-01-01 00:00:00
abstract:CONTEXT:Renal colic is a common, acute presentation of urolithiasis that requires immediate pain relief. European Association of Urology guidelines recommend nonsteroidal anti-inflammatory drugs (NSAIDs) as the preferred analgesia. However, the fear of NSAID adverse effects and the uncertainty about superior analgesic ...
journal_title:European urology
pub_type: 杂志文章,meta分析
doi:10.1016/j.eururo.2017.11.001
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Controversy exists regarding the optimal extent of lymphadenectomy and the number of lymph nodes to be retrieved at radical cystectomy (RC). OBJECTIVE:To compare the disease-free survival of patients with standard lymphadenectomy (endopelvic region composed of the internal, external iliac, and obturator gro...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2011.05.062
更新日期:2011-09-01 00:00:00
abstract:CONTEXT:We addressed the question whether the change of serum prostate-specific antigen (PSA) in men who use 5α-reductase inhibitor (5-ARI) dutasteride is sensitive for the detection of aggressive prostate cancer (PCa). OBJECTIVE:The case of a man using dutasteride diagnosed with Gleason 7 transition zone cancer at bi...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1016/j.eururo.2010.09.035
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:The evolution of resistant pathogens is a worldwide health crisis and adherence to European Association of Urology (EAU) guidelines on antibiotic prophylaxis may be an important way to improve antibiotic stewardship and reduce patient harm and costs. OBJECTIVE:To evaluate the prevalence of antibiotic-resist...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2015.05.010
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:We investigated the potential involvement of the thromboxane A(2) (TXA(2)) pathway in human prostate cancer (PCa). METHODS:Expression of cyclooxygenase-2 (COX-2), TXA(2) synthase (TXS), and TXA(2) receptors (TPRs), the main actors of the TXA(2) pathway, was analyzed on serial tissue sections from 46 human PC...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2006.01.036
更新日期:2006-11-01 00:00:00
abstract::Herein we report a very rare case involving acute occlusion of a Foley catheter by worms. The treatment consisted of removal of the occluded catheter followed by bladder washing with a Betadine solution mixed with normal saline and introduction of a new catheter. ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000471598
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy and toxicity of gemcitabine plus vinorelbine chemotherapy in patients with advanced bladder carcinoma who are unsuitable for or who have failed cisplatin-containing chemotherapy. PATIENTS AND METHODS:Thirty-one patients with advanced transitional cell carcinoma (TCC) of the bladder w...
journal_title:European urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0302-2838(03)00385-3
更新日期:2003-12-01 00:00:00
abstract::Comparison of the use of autosuture surgiclips and Mersilene for occlusion of the vas deferens showed a significantly lower number of complications, such as local infections, granuloma and fistula, within a month following vasectomy, when autosuture surgiclips were used (0.005 less than p less than 0.01). After 6 mont...
journal_title:European urology
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:The combination of a neourethra and erection prosthesis in a single neophallus in the female-to-male transsexual remains a challenge. No good data are available on this subject. OBJECTIVE:To report the outcome in 129 female-to-male transsexuals with a neophallus after the implantation of an erectile prosthe...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2009.03.013
更新日期:2010-02-01 00:00:00
abstract:CONTEXT:Nocturia is a common urologic symptom that has been covered in a variety of reported studies in the literature but is not specifically covered in current guidelines. OBJECTIVE:To comprehensively review the literature pertaining to the definition, etiologies, and consequences of nocturia and assess the evidence...
journal_title:European urology
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.eururo.2012.07.004
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:The effects of intratumoral ethanol injection on renal cell carcinoma (RCC) heterotransplanted in nude rats were evaluated. MATERIALS AND METHODS:The OUR95AF human RCC cell line was inoculated subcutaneously into the backs of nude rats. Four weeks after transplantation, the size of tumors became 1.5-2.0 cm i...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/s0302-2838(03)00354-3
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:The aim of the present study was to determine whether the serum levels of a bone formation marker, i.e., the carboxy-terminal propeptide of type I procollagen (PICP), and a bone resorption marker, i.e., the carboxy-terminal telopeptide of type I collagen (ICTP) have prognostic value in prostate cancer patient...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000019700
更新日期:1998-08-01 00:00:00
abstract::We report on a patient who developed a urethrogluteal fistula 11 years following cystectomy performed for carcinoma of the bladder. The diagnosis was established by retrograde urethrography and fistulography. To the best of our knowledge, no previous case has been reported in the literature. ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000472777
更新日期:1987-01-01 00:00:00
abstract::The question is addressed whether cisplatin-based chemotherapy for germ cell cancer has the same efficacy in intratesticular and in extragonadal sites. For this purpose, 7 patients with germ cell cancer, aged 16-35 years were analysed. Four of the patients had palpable testicular tumors, 3 had occult testicular tumors...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000475015
更新日期:1995-01-01 00:00:00
abstract::In order to present or minimize the frequent occurrence of urinary infection and other complications following indwelling catheterization, we devised a drug-releasing silicon catheter. Attached to its tip is an appliance which has a honeycomb pattern with many spaces into which antibiotic particles are inserted. In ou...
journal_title:European urology
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:In hormone refractory prostatic carcinoma (HRPCa), the majority of patients have bone metastases only, which are by definition non-measurable. This makes objective evaluation of chemotherapeutic agents difficult. Prostate specific antigen (PSA) as a dynamic model was analyzed as potential auxiliary end point ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/s0302-2838(02)00539-0
更新日期:2003-01-01 00:00:00
abstract::We report the case of a patient with a non-Hodgkin lymphoma, who after a standard chemotherapy protocol, developed retroperitoneal fibrosis (RPF) in the absence of radiotherapy or other known causes. The final diagnosis was reached with the microscopic examination of tissue obtained by fine-needle aspiration and true-...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2006.03.013
更新日期:2007-01-01 00:00:00
abstract::A case of transitional cell carcinoma arising from a bladder which was left behind for more than 24 years without pyocystis syndrome is described. A search in the literature revealed 10 cases of defunctionalized bladder that developed tumors over a rather short latent period ranging from 3 months to 7 years, and mostl...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473114
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:Testosterone (T) induces a rapid relaxation in vascular tissues of different species due to a nongenomic effect of this steroid on vessels. Different mechanisms have been proposed to explain T-induced vasodilatation but the effective mechanism(s) and the mediators involved are still a matter of debate. OBJE...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2008.05.014
更新日期:2009-08-01 00:00:00
abstract::Blind-ending bifid ureters, as one type of duplications, are a rare congenital anomaly of the urinary tract. Occasionally they present with unspecific symptoms and require surgical intervention. This case of a blind-ending bifid ureter was associated with an intravesical ectopic orifice. Recurrent urinary tract infect...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000463849
更新日期:1984-01-01 00:00:00
abstract::The cytotoxic efficacy of methylene blue-sensitized photoinactivation of bladder cancer cells has been proved in vitro and in vivo in our previous work. The ultrastructural changes of MBT-2 murine bladder cancer cells following methylene blue-sensitized phototherapy have been evaluated by scanning and transmission ele...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473652
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:The best sequence of targeted therapy in patients with metastatic renal cell carcinoma (mRCC) has not been sufficiently defined. OBJECTIVE:To describe the efficacy and toxicity of sequential everolimus (EV) versus receptor tyrosine kinase inhibitor (rTKI) following failure of first rTKI treatment. DESIGN, ...
journal_title:European urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.eururo.2011.07.037
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:OnabotulinumtoxinA (Onabot/A) has been used to treat detrusor overactivity disorders. The treatment is based on several injections of toxin throughout the bladder wall. However, injection protocols are not well established among clinicians, varying in dose and dilution. OBJECTIVE:Study the distribution and ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2012.01.046
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:Congenital bladder diverticula (CBD) usually occur in areas where the muscle is inadequately formed, typically at the ureterovesical junction, or between bundles of hypertrophied muscle. CBD are mostly asymptomatic and the cases are found incidentally. Occasionally, some cases of CBD may produce urinary obstr...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000019520
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Immunochemotherapy (ICT) with interleukin-2 (IL-2) and interferon-alpha (IFNalpha) with a secondary effector (5-fluorouracil, 5 FU) is the only promising treatment for advanced renal cell carcinoma (RCC). With IFNalpha, besides the activation mechanisms of the immunosystem, a direct antitumor effect on tumor...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000052489
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Energy metabolism is important in cancer proliferation and progression, but its role in prostate cancer (PCa) remains unclear. OBJECTIVE:We explored whether single-nucleotide polymorphisms (SNPs) of genes involved in energy metabolic pathways are associated with PCa risk and prognosis, and whether antidiabe...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2015.03.026
更新日期:2015-12-01 00:00:00